Reviewhybrid2024

Can human sex be estimated based on the dimensions of the maxillary sinuses? A systematic review of the literature on cone-beam and multi-slice computed tomography

Matheus Sampaio‐Oliveira · Larissa de Oliveira Reis · Lucas P. Lopes Rosado · Marcela Baraúna Magno · Lucianne Cople Maia · Matheus L. Oliveira

7 citations0/0 files storedJournal of Forensic and Legal Medicine

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Forensic Anthropology and Bioarchaeology Studies Endodontics and Root Canal Treatments Dental Radiography and Imaging

Abstract

PURPOSE: To critically appraise and summarize the potential of linear and/or volumetric dimensions of the maxillary sinuses obtained with cone-beam and multi-slice computed tomography. METHODS: A bibliographic search was conducted in seven databases in August 2023. Cross-sectional retrospective studies using linear and volumetric measurements of the maxillary sinuses obtained with cone-beam and multi-slice computed tomography for sex estimation and presenting numerical estimation data were included. Narrative or systematic reviews, letters to the editor, case reports, laboratory studies in animals, and experimental studies were excluded. The critical appraisal and certainty of evidence were assessed using the guidelines described by Fowkes and Fulton and GRADE, respectively. RESULTS: A total of 656 studies were found, 32 of which were included. A total of 3631 individuals were analyzed and the overall sex estimation rate ranged from 54.9 % to 95 %. When compared with isolated measurements, combined linear measurements of the right and left maxillary sinuses, such as width, length, and height, provided a higher rate of sex estimation (54.9-95 %). In most of the studies (62.5 %), all measurements were higher in men than in women. Multiple methodological problems were found in the studies, especially distorting influences in 84.4 % of the answers. The certainty of evidence varied from very low to low. CONCLUSIONS: The combination of height, width, and length measurements of the right and left maxillary sinuses from cone-beam and multi-slice computed tomography can be useful in the estimation of sex of humans. Further primary studies are needed to increase the certainty of evidence. PROSPERO REGISTER: CRD42020161922.

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References

1977The Measurement of Observer Agreement for Categorical Data 2021The PRISMA 2020 statement: An updated guideline for reporting systematic reviews 2020The PRISMA 2020 statement: an updated guideline for reporting systematic reviews 2006Determination of gender by measuring the size of the maxillary sinuses in computerized tomography scans 2011Evaluation of Maxillary Sinus Dimensions in Gender Determination Using Helical CT Scanning 2019Forensic odontology in DVI: current practice and recent advances 2011Sex identification in Egyptian population using Multidetector Computed Tomography of the maxillary sinus 2014Measurements of maxillary sinus volume and dimensions by computed tomography scan for gender determination

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2025Umbrella review: CT of frontal, maxillary and sphenoidal sinuses for sexual dimorphism

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